DR. ERIC STEFAN JACOBSON D.M.D.
NPI 1205284098
Dentist - Pediatric Dentistry in Berea, KY

Q: What is Eric Jacobson's NPI number?

The NPI number for Eric Jacobson is 1205284098. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Q: What is Eric Jacobson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Q: When was this NPI record last updated?

The NPPES record for Eric Jacobson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 02, 2016PECOS Enrolled

1006 ACE DR, BEREA, KY 40403(859) 286-6999(859) 406-1333 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 20, 2026, Sep 30, 2020 (2 updates tracked since 2020).

On this page

About Dr. Eric Stefan Jacobson D.m.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ERIC STEFAN JACOBSON D.M.D. (NPI 1205284098) is an individual pediatric dentistry provider in Berea, Kentucky, licensed in Kentucky (9750) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Lexington.

NPPES Registry Identity

NPI1205284098

Entity TypeIndividualMale

Primary Taxonomy1223P0221X

Provider Legal NameDR. ERIC STEFAN JACOBSONCredential: D.M.D.

Location Address1006 ACE DRBerea, KY 40403-1327

Mailing Address1006 Ace DrBerea, KY 40403-1327 · (859) 286-6999 · Fax (859) 406-1333

Phone(859) 286-6999

Fax(859) 406-1333

Sole ProprietorNo

Enumeration DateJune 2, 2016

Last NPPES UpdateMay 20, 20262 updates tracked since enumeration

NPPES CertifiedMay 20, 2026

✔ NPI 1205284098 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

License✔ Licensed in KY · 9750

Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Also ListedDentistTaxonomy 122300000X · License 9750 (KY)

1006 ACE DR, Berea, KY 40403

Open in Google Maps ↗

Secondary Practice Location 1

Location 11722 Sharkey WayLexington, KY 40511-2028 · Phone (859) 788-7123 · Fax (859) 406-1333

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eric Stefan Jacobson D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$66.24 typical visit price

range $16.53 – $131.99

Typical copayment $16.56 (range $4.13 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENTUCKY DENTAL ANESTHESIA SERVICES

Anesthesiology

1006 ACE DR
BEREA, KY 40403

Madison County (859) 420-9187

PINNACLE PEDIATRIC DENTISTRY, PLLC

Dentist (Pediatric Dentistry)

1006 ACE DR
BEREA, KY 40403

Madison County (859) 286-6999

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eric Jacobson's NPI number?

The NPI number for Eric Jacobson is 1205284098. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Eric Jacobson located?

Eric Jacobson practices at 1006 Ace Dr, Berea, KY 40403. The listed phone number is (859) 286-6999.

What is Eric Jacobson's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

Is Eric Jacobson enrolled in Medicare?

Yes. Eric Jacobson is registered in the Medicare PECOS enrollment system.

What insurance does Eric Jacobson accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Eric Jacobson as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eric Jacobson was last updated on May 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.